AAPC - Back to school
Results 1 to 3 of 3

Thread: ICD-10 Speficicity

  1. #1

    Default ICD-10 Speficicity

    AAPC: Back to School
    I've been looking over the ICD-10 codes this morning and the same question popped into mind. What is going to stop our doctors from documenting like they always have?

    For example, Otitis Media. I tell them that we need to know if it's left ear, right ear, or bilateral, but there's still a UNSPECIFIED code. In their mind, we can still code it. Another example is Colon Polyps. We can code it to cecum, apendix, sigmoid, ect., but again, there is still a code that says "Benign neoplasm of colon unspecified." or "Polyp of Colon".

    I've been told that insurance companies wont pay if there is an unspecified code, how can we verify this? If that's the case then I will by all means tell the doctors.

  2. #2
    Join Date
    Apr 2007

    Default Icd-10

    You cannot verify reimbursement as of yet. Everything I have read says that payors will reimburse ICD-10 as "budget neutral" until the bugs are worked out of the reimbursement systems...THEN they will flag codes for non payment, I am guessing. Physicians will need to review new codes and documentation requirements that are specific to their practice to that they are able to document for the new codes.
    Becky Stephenson, RN, CPC, CPC-H
    President/CEO VersaClaim, Inc.
    Austin, Texas

  3. #3


    Thanks. That is basically what I heard recenlty at a CMS Teleconfrence.

Similar Threads

  1. Replies: 0
    Last Post: 06-13-2015, 01:22 PM
  2. Replies: 3
    Last Post: 05-03-2013, 11:52 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.